Oral function in community-dwelling elderly individuals in Japan: Present status and future challenges
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1 2014 Vol.63 No.2 p Oral function in community-dwelling elderly individuals in Japan: Present status and future challenges Hiroko MIURA Shingo MORIYA Yoh TAMAKI Yoshie USUI Department of International Health and Collaboration, National Institute of Public Health Department of Health Promotion, National Institute of Public Health Department of Health and Welfare Services, National Institute of Public Health Department of Gerontology, Graduate School, Tokyo Medical and Dental University QOL Abstract Improving oral function is crucial to maintaining healthy oral feeding and satisfactory verbal communication in older adults. Declining oral function is a serious health concern affecting communitydwelling residents, including independent and dependent older adults. It is thus necessary to assess the present conditions of oral function among this growing demographic, as the findings will contribute to , Minami, Wako, Saitama , Japan. T e l: hmiura@niph.go.jp 131
2 future oral health policy discussions concerning Japan s super-aging society. The oral cavity is closely associated with eating and articulation functions essential to the social functioning of older adults. Therefore, both these functions have an influence on their health-related quality of life (QOL). The improvement of oral function for the enhancement of QOL has been declared as one of the basic policies constituting the Basic Matters related to the promotion of Dental and Oral Health notified in July The assessment of oral function is further needed to improve their oral health. This article provides a summary of our findings on the current conditions of oral function among community-dwelling older adults in Japan. We also review practical, simplified evaluation methods for oral function, which will be applied in community health settings. keywords: Dysphagia, articulation, community-dwelling older adults, the Act concerning the Promotion of Dental and Oral Health (accepted for publication, 30th March 2014) I. [, ] WHOICF [ ] [ - ] [ ] II. [ ] [ ] [, ] [, ] 132
3 [] [, ] [] [] Dysphagia Risk Assessment for the Community-dwelling Elderly: DRACE DRACE DRACE DRACE [] 133
4 [] DRACE. DRACE DRACE DRACE... QOL 134
5 DRACE QOL QOL [, ] QOL SF-8 [] QOL QOL III. [] [] 135
6 [] /pa/ /ta/ /ka/ /pa/ /ta/ /ka/ [] ICT [] /pa/ /ta/ /ka/ /pataka/ ADL [ ] /pa/ /ta/ /ka/ /pataka/ [] /pa/ /ta/ /ka/ /pataka/ 136 N - N - N N - N - N SD /pa/ SD /ta/ SD /ka/ []
7 IV. [] /pa/ /ta//ka/ V. [] VI. [ ] Elliot JL. Swallowing disorders in the elderly: a guide to diagnosis and treatment. Geriatrics. 1988;43: [ ]. p
8 [ ] World Health Organization. International classification of functioning, disability and health. WHO [ ] Morris H. Dysphagia in the elderly. A management challenge for nurses. Br J Nurs. 2006;7: [ ] Miura H, Yamasaki K, Morisaki N, Moriya S, Sumi Y. Factors influencing oral health-related quality of life (OHRQoL) among the frail elderly residing in the community with their family. Archs Gerontol Geriatr. 2010;51:e62-5. [ ] ADL -. [ ] Humbert IA, Robbins L. Dysphagia in the elderly. Phys Med Rehabil Clin N Am. 2008;19: [ ] Takeuchi K, Aida J, Ito K, Furuta M, Yamashita Y, Osaka K. Nutritional status and dysphagia risk among community-dwelling frail older adults. J Nutrition, Health & Aging. 2014;18: [ ] Almirall J, Cabre M, Clave P. Aspiration pneumonia. Med Clin (Barc.). 2007;129: [] Janssens JP. Pneumonia in the elderly (geriatric) population. Curr Opin Pulm Med. 2005;11: [] -. [] Health Sciences. -. [] DePippo KI, Holas MA, Reding MJ. Validation of 3-oz water swallow test for aspiration following stroke. Archs Neuol. 1992:49: [] the Repetitive Saliva Swallowing Rest: RSST -. [] the Repetitive Saliva Swallowing Rest: RSST -. [] simple swallowing provocation test -. [] Miura H, Kariyasu M, Yamasaki K, Arai Y. Evaluation of chewing and swallowing disorders among frail community-dwelling elderly individuals. J Oral Rehabil. 2007;34: []. p. -. [] Miura H, Hara S, Yamasaki K, Usui Y. Relationship between chewing and swallowing functions and health-related quality of life among elderly. In: Oral Health Care, Virdi MS (ed). InTech, Croatia p [] -. [] QOL SF-8 SF-36-. [] ADL -. [] Miura H, Kariyasu M, Yamasaki K, Sumi Y. Physical, mental and social factors affecting self-rated verbal communication among elderly individuals. Geriatrics & Gerontology International. 2004;4: [] Tjaden K, Watling E. Characteristics of diadochokinesis in mulpiple sclerosis and Parkinson s disease. Folia Phoniatr Logop. 2003;55: [] -. [] -. []. p.-. [] Tada A, Miura H. Prevention of aspiration pneumonia (AP) with oral care. Archs Gerontol Geriatr. 2012;55: []
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